Multiple organ dysfunction syndrome (MODS) Quiz: Ace Your Exams
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A 56-year-old man was brought to the emergency department for severe substernal chest pain for the past 3 hours that started while he was walking his dog. He has a history of hypertension, hyperlipidemia, and type 2 diabetes mellitus. He takes lisinopril, rosuvastatin, metformin, and aspirin. His father died from a myocardial infarction at the age of 60. Temperature is 37.2 °C (99.0 °F), pulse is 112/min, blood pressure is 85/45 mmHg, and respirations are 16 min. Pulse oximetry is 95% on room air. He is alert and oriented. Lung auscultation reveals rales in the lungs bilaterally. Cardiac auscultation is significant for a third heart sound. There is jugular venous distension. Peripheral pulses are decreased. There is evidence of peripheral edema. Chest x-ray shows increased interstitial markings. ECG shows ST-segment elevations in V2 through V6. Troponin levels are elevated. Transthoracic echocardiogram shows left ventricular regional wall abnormalities and dilatation. Which of the following should be ordered to help diagnose MODS?
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